September 2013 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for September 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

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Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

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Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

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DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

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Trends in Psychotropic Med Use in Young Children Explored

MONDAY, Sept. 30 (HealthDay News) -- For children aged 2 to 5 years, the likelihood of psychotropic medication use peaked in 2002 to 2005, according to a study published online Sept. 30 in Pediatrics.

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Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

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Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

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HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

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No Association Seen Between Celiac Disease, Autism Disorders

FRIDAY, Sept. 27 (HealthDay News) -- There is no association between celiac disease and autism spectrum disorders (ASDs), although there may be an increased risk of ASDs in patients with normal lining of the gastrointestinal tract but a positive antibody test, according to a study published online Sept. 25 in JAMA Psychiatry.

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Obesity Gene Testing Offers Psychological Benefit

FRIDAY, Sept. 27 (HealthDay News) -- Results from genetic testing for weight gain-related genes may offer psychological benefits beyond their limited clinical utility, according to a study published in the July issue of the Journal of Genetic Counseling.

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HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

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CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Dementia Needs to Become a Government Priority

THURSDAY, Sept. 26 (HealthDay News) -- Governments must make dementia a priority, according to a report published by Alzheimer's Disease International.

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No Cognitive Protective Role Seen for Omega-3 Fatty Acids

THURSDAY, Sept. 26 (HealthDay News) -- There is no evidence of a protective effect for omega-3 fatty acids on age-associated cognition or the rate of cognitive decline in older dementia-free women, according to research published online Sept. 25 in Neurology.

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HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

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More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

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ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

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HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

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FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

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Early Screening Tool IDs PTSD in Preschool-Aged Children

TUESDAY, Sept. 24 (HealthDay News) -- An early screening tool can be used to identify posttraumatic stress disorder (PTSD) in infants and young children shortly after unintentional injury, according to a study published online Sept. 23 in Pediatrics.

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FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

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HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

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HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

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Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

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Metformin May Increase Risk of Cognitive Impairment

FRIDAY, Sept. 20 (HealthDay News) -- Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

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CDC: Evocative Campaign Motivates Smokers to Quit

THURSDAY, Sept. 19 (HealthDay News) -- The Tips from Former Smokers (Tips) television campaign, which features true stories of former smokers living with the unfortunate consequences of their past habit, appears to motivate smokers to seek information through quitlines and the Internet, according to a report published in the Sept. 20 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

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Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

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'Bath Salts' Involved in Nearly 23,000 ER Visits in 2011

THURSDAY, Sept. 19 (HealthDay News) -- Bath salts, a group of drugs that contain one or more chemicals related to the amphetamine-like stimulant cathinone, were involved in nearly 23,000 drug-related emergency department visits in 2011, according to a report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

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Binge Drinking 5+ Drinks Common in High School Seniors

WEDNESDAY, Sept. 18 (HealthDay News) -- One in five U.S. high school seniors report binge drinking at the traditionally defined 5+ drinking level in the past two weeks, according to a study published online Sept. 16 in JAMA Pediatrics.

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Suicide Rates Increased After 2008 Global Economic Crisis

WEDNESDAY, Sept. 18 (HealthDay News) -- The 2008 global economic crisis correlated with increased rates of suicide in European and American countries, according to research published online Sept. 17 in BMJ.

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Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

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Varenicline Safe and Effective in Those With Depression

WEDNESDAY, Sept. 18 (HealthDay News) -- Varenicline can increase smoking cessation rates in smokers with stable depression, without worsening depression or anxiety, according to a study published in the Sept. 17 issue of the Annals of Internal Medicine.

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EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

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Chronic Care Management No Benefit for Drug Dependence

TUESDAY, Sept. 17 (HealthDay News) -- Chronic care management (CCM) is no better than usual primary care for self-reported abstinence for those with alcohol or drug dependence, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.

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Care Pathway Proposed for Adolescent Depression

TUESDAY, Sept. 17 (HealthDay News) -- Researchers have gathered evidence, developed a care pathway, and identified quality indicators (QIs) for the management of adolescent depression, according to a special article published online Sept. 16 in Pediatrics.

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Analysis Confirms Bullying, Health Issues Link in Children

MONDAY, Sept. 16 (HealthDay News) -- Results of a recent meta-analysis confirm previous findings that being bullied is associated with psychosomatic problems in school-aged children; the research has been published online Sept. 16 in Pediatrics.

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Stress Reduction Program Reduces Teacher Burnout

FRIDAY, Sept. 13 (HealthDay News) -- Teachers show improvements in burnout, psychological symptoms, and classroom performance after participating in an eight-week stress reduction intervention modified specifically for their profession, according to a study published in the September issue of Mind, Brain, and Education.

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IOM Urges Coordinated Research Enterprise for Child Abuse

FRIDAY, Sept. 13 (HealthDay News) -- Although child abuse rates appear to be declining, the complexity of child abuse and neglect necessitates development of a coordinated research enterprise, according to a report published Sept. 12 by the Institute of Medicine.

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Mediterranean Diet Tied to Less Age-Related Cognitive Decline

THURSDAY, Sept. 12 (HealthDay News) -- Greater adherence to a Mediterranean diet is associated with slower cognitive decline in older adults, according to a review published in the July issue of Epidemiology.

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Questions Remain About Effect of Exercise on Depression

THURSDAY, Sept. 12 (HealthDay News) -- Although more trials have been conducted on the effect of exercise in treating depression since the previous Cochrane review in 2009, the evidence is inconclusive, and further larger trials are needed, according to research published online Sept. 12 in The Cochrane Library.

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In OCD, Add-On Cognitive Behavior Tx Beats Risperidone

THURSDAY, Sept. 12 (HealthDay News) -- For patients with obsessive-compulsive disorder (OCD), the addition of cognitive behavioral therapy (exposure and ritual prevention [EX/RP]) to a serotonin reuptake inhibitor (SRI) is superior to risperidone or pill placebo, according to a study published online Sept. 11 in JAMA Psychiatry.

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Mindfulness Training Beneficial for Clinicians, Patients

THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.

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Irritability/Anger Tied to More Severe Major Depression

WEDNESDAY, Sept. 11 (HealthDay News) -- For patients with unipolar major depressive episodes (MDEs), overt irritability/anger correlates with more severe, chronic, and complex disease, according to a study published online Sept. 11 in JAMA Psychiatry.

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About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

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Non-Medical Use of Prescription Drugs Drops in Young Adults

MONDAY, Sept. 9 (HealthDay News) -- In its latest report, 2012 National Survey on Drug Use and Health, the Substance Abuse and Mental Health Services Administration (SAMHSA) describes the use of illicit drugs, alcohol, and tobacco in the teen and adult civilian population of the United States.

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Anxiety, Fear of Pain Predict Chronic, Post-Surgery Pain

MONDAY, Sept. 9 (HealthDay News) -- State anxiety, psychological measures of amplification of pain, and acute postoperative pain independently predict post-surgical pain at three months, according to a study published in the August issue of The Journal of Pain.

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'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

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Most Physicians Report Being Satisfied With Career Choice

MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.

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E-Cigarettes Modestly Effective for Helping Smokers Quit

MONDAY, Sept. 9 (HealthDay News) -- Electronic cigarettes (e-cigarettes) are modestly effective for helping smokers quit; and, a three-month television antismoking campaign is effective for increasing quit attempts, according to two studies published online Sept. 9 in The Lancet.

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Adoption Linked to Increased Risk of Suicide Attempts

MONDAY, Sept. 9 (HealthDay News) -- Adopted offspring have increased odds of a reported suicide attempt, even after adjustment for factors associated with suicidal behavior, according to a study published online Sept. 9 in Pediatrics.

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Obese Teens Can Also Develop Eating Disorders

MONDAY, Sept. 9 (HealthDay News) -- Obese adolescents are at risk of eating disorders, which can go unrecognized due to their higher weight status, according to a case report published online Sept. 9 in Pediatrics.

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Parental Tongue-Lashing Aggravates Teen Misbehavior

FRIDAY, Sept. 6 (HealthDay News) -- Harsh verbal discipline of children at age 13 by parents is linked with an increase in adolescent conduct problems and depressive symptoms, according to research published online Sept. 4 in Child Development.

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Screening Tool Does Not Cut Distress in Cancer Patients

FRIDAY, Sept. 6 (HealthDay News) -- Distress monitoring and needs assessment using the Distress Thermometer and Problem List (DT&PL) does not appear to be cost-effective in improving mood states in cancer patients, according to research published online Sept. 3 in the Journal of Clinical Oncology.

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Functional Outcome Explored in Those at Risk for Psychosis

FRIDAY, Sept. 6 (HealthDay News) -- Measures of social and role functioning predict functional outcome in those at clinical high risk for psychosis, and poor functional outcome is not entirely dependent on conversion to full-blown disease, according to research published online Sept. 4 in JAMA Psychiatry.

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Maternal PTSD Tied to Increased Risk of Child Abuse

THURSDAY, Sept. 5 (HealthDay News) -- Mothers with posttraumatic stress disorder (PTSD) due to events such as serious accidents, assaults, war, or natural disasters are more likely to mistreat their children, even more than mothers with depression, according to a study published online Sept. 2 in JAMA Pediatrics.

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Intervention for NICU Moms Reduces Their Trauma, Anxiety

THURSDAY, Sept. 5 (HealthDay News) -- An intervention aimed at reducing parental trauma and redefining the parental experience for those with very premature newborns is both feasible and cost-effective, according to a study published online Sept. 2 in Pediatrics.

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Continuation Phase Cognitive Therapy Beneficial in Depression

THURSDAY, Sept. 5 (HealthDay News) -- For patients with major depressive disorder, continuation phase cognitive therapy (C-CT) and fluoxetine prevent relapse; and, a cognitive behavioral prevention (CBP) program provides lasting benefits for some adolescents at risk for depressive disorders, according to two studies published online Sept. 4 in JAMA Psychiatry.

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Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

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Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

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Parental Goals Impact ADHD Treatment Preference

TUESDAY, Sept. 3 (HealthDay News) -- Parents of children with attention-deficit/hyperactivity disorder (ADHD) are more likely to choose medication if the goal is academic achievement but more likely to choose behavior therapy if the goal is behavioral compliance, according to a study published online Sept. 2 in Pediatrics.

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Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

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Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

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